NPI | 1083914089 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101Y00000X Counselor (Licence: 000000) |
225700000X Massage Therapist (Licence: IL 227006516) | |
Enumeration Date | 2010-10-25 |
Last Update Date | 2022-03-23 |